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NPI Code Detail

MEDICARE: KRISTEN M JOLY APRN

MEDICARE: KRISTEN M JOLY APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner8853CT

General Provider Information

NPI Number : 1417579897
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN M JOLY APRN
Provider Business Mailing Address
First Line : 330 WASHINGTON ST STE 220
Second Line :
City : NORWICH
State : CT
Zip : 06360-2700
Country : US
Telephone Number : 860-886-8362
Fax Number : 860-886-9262
Provider Business Practice Location Address
First Line : 330 WASHINGTON ST STE 220
Second Line :
City : NORWICH
State : CT
Zip : 06360-2700
Country : US
Telephone Number : 860-912-2147
Fax Number : 860-886-9262
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2020
Last Update Date : 02/10/2026

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Directions to “ KRISTEN M JOLY APRN” Practice Location

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